When you’re putting together a college plan, you’re probably plotting a straight path from application to enrollment to graduation to a degree and a career with a higher-than-average starting salary. But for many students, that path can be interrupted by a number of factors.

In some cases, the very stress of trying to finish a degree as quickly as possible can sometimes be the very thing that gets in the way. It’s important to know what will happen if you need a temporary leave of absence, and it’s perhaps even more important to know that it’s OK to ask for one.
Student walking back to school

“Taking time away for mental health can be an important step toward long-term well-being and academic success,” says Sarah K. Lipson, PhD, EdM, an Associate Professor at Boston University’s School of Public Health and a Principal Investigator with the . “When institutions approach leave and re-entry with compassion, flexibility, and clear communication, students are much more likely to return and thrive.”

Here’s what to consider about a college’s approach to leave and re-entry.

1. Does the School Support All Forms of Leave?

The Ruderman Family Foundation, a partner of The Princeton Review focused on improving mental health support for students, partnered with Boston University on , which notes that leave may be taken for any of the following reasons:

  • Personal circumstances (family needs, financial pressures, work obligations, travel) 
  • Medical needs (physical or mental health conditions) 
  • Academic challenges (falling below required GPA or credit thresholds) 
  • Disciplinary action (breaking school rules or requirements)

“Too often, students who take a leave of absence for mental health reasons feel disconnected, stigmatized, or uncertain about how to successfully return,” said Jay Ruderman, President of the Ruderman Family Foundation. “We commissioned this guide to help students and families better understand what supportive, compassionate leave and re-entry policies can look like.”

Whatever the reason for your leave, the school should be clear about what services remain available while you are away and what expectations there are for re-entry. It should also help you plan for a return. For involuntary leaves (academic and disciplinary), there may be additional requirements to fulfill before coming back.

For medical leaves, Taking a Leave of Absence points out that “students with disabilities, including those related to mental health, have a right under the law to receive reasonable, disability-related accommodations.” Find out what sort of documentation you may need, as well as what the school deems “reasonable,” so that these concerns can be resolved before you return.

2. Does the School Have a Dedicated Office or Role for Supporting Students on Leave?

According to Mark H. Reed, Interim Medical Director for Health and Wellness at Dartmouth, it is critical that “students continue to feel part of the community and connected to staff who are genuinely invested in their wellbeing.” At Dartmouth, there’s a Time Away office that helps to connect returning students with the most appropriate person on a case-by-case basis. As of 2026, they’re also adding “a new mentorship program where students who have successfully returned from leave provide guidance and connection.”

Dr. Lipson adds that “it’s often most helpful for students to have a single, clearly designated point person…that continuity builds trust and prevents students from having to navigate multiple offices on their own.” Look for one of the following to be involved both before, during, and after the leave:

  • A representative from the office of the Dean of Students
  • A case manager
  • A care coordinator

Whomever your contact is, Taking a Leave of Absence strongly advocates using PACE (People, Academics, Care, Engagement) to make sure you’re getting what you need.

  • People: If you do not already have a network of people to talk to, or you feel that they do not understand your circumstances, find out if the school can put you in touch with peers who have similarly taken a leave of absence.
  • Academics: Just because you’re not in school does not necessarily mean that you can’t still work toward your goals, if you feel able to do so. See if the school can recommend reading while you’re on leave, or if it can provide flexible opportunities to shadow those in your career. These are not formal assignments and have no obligation to be completed; you do what you feel able to do.
  • Care: Wellness activities can help to provide relief. Ask whether your school offers access to clubs or programs, both online and offline, that you can try out while on leave, looking for the one that is the right fit for your needs.
  • Engagement: A sense of structure can be important, and sticking with a routine, however modified, can help prepare you to eventually return to school. Check the school’s recommendations, or seek out any leave of absence programming that may be available in your area.

3. How Often Does the School Check In?

Dr. Lipson explains that “there isn’t a single ‘ideal’ frequency for check-ins, because students’ needs vary widely depending on why they took leave and what supports they have off campus.” That said, contact from the school should be “consistent and personal,” and Dr. Lipson suggests that the check-ins should be “supportive rather than evaluative…so students know someone at the institution is still invested in their wellbeing.”

Look for outreach that is:

  • Regular but not intrusive 
  • Personal rather than automated 
  • Supportive, not evaluative 
Counselor holding student's hand

4. How Complete Is the Separation?

As Dr. Sarah K. Lipson notes, it can be especially helpful when schools offer “transparency and flexibility” and “maintain a sense of connection to campus during the leave.”

Because policies vary widely between schools, make a list of the services you currently use and confirm which ones will remain available to you while on leave. In some cases, schools may offer:

  • Counseling or telehealth services 
  • Continued access to student health insurance (with or without additional cost) 
  • Limited campus programming or community connections 

For example, Dartmouth has partnered with UWill “to provide free, long-term teletherapy counseling to students” around the world, whether they are enrolled or on leave. The school also lets individuals renew their student health plan and, “for those with significant financial need, Dartmouth will cover the premium.”

These kinds of policies aren’t universal, but schools with similar offerings are signaling a more supportive and student-centered approach.

5. What Is the Process for Re-Entry?

Returning to school should be straightforward and manageable. Before taking leave, clarify exactly what the re-entry process involves so there are no surprises later.

According to Dr. Lipson, this “usually involves planning ahead across multiple areas,” which will help with your “long-term wellbeing and academic success.”

Questions you might want to ask include:

  • How long can I remain on leave?
  • Will I need to reapply or will I be re-enrolled upon request? 
  • What documentation or steps are required to re-enter?

Reed emphasizes that “the first term back is especially critical,” particularly in a faster-paced academic environment like Dartmouth. Look for schools that recognize this and provide structure rather than expecting students to immediately resume a full load.

You can also create your own checklist or pro/con list to prepare for the transition. At a minimum, look for clarity around:

  • Academic expectations 
  • Mental health support 
  • Day-to-day campus life 

Be sure that the school isn’t pressuring you to return before you’re ready. Dr. Lipson describes the “bare minimum” as a “campus environment [that] signals that students are welcome back and supported, rather than stigmatized for having taken time away,” and the school should proactively provide “connections to resources and a manageable academic load.”

Finally, ask whether part-time re-enrollment is an option. In some cases, according to  Taking a Leave of Absence, “you may be eligible to receive an accommodation that grants full-time student status (access to all benefits and financial aid) while taking a part-time course load.”

6. What Structures Remain in Place after Re-Entry?

Dr. Lipson emphasizes that “the most effective systems recognize that re-entry is a transition period and provide structured support rather than assuming students can immediately resume everything on their own.” Ask what support remains in place after you return.

Strong programs often include:

  • Follow-up meetings with a dedicated staff member 
  • Continued access to counseling and health services 
  • Proactive academic advising to help manage your workload 

You should also have a clear point of contact during your first term back—someone you can reach out to if challenges arise.

Your role is to communicate honestly about what you need and to ask for support early. Addressing smaller issues at the outset can make the transition back smoother and more sustainable.

Final Thoughts

Taking a leave of absence means stepping away from your academic routine, but it doesn’t have to mean abandoning your academic or career goals. However, because every school has their own policies and re-entry requirements, it would serve you well to make sure you’re enrolling at a school that fits your potential needs, and which has clear plans and systems to help you get back on track when you’re ready.

Schools are increasingly realizing the importance of mental health, and are looking for ways to support students. It’s never too early to reach out and ask for information.